Howard R A, Aldea G S, Shapira O M, Kasznica J M, Davidoff R
Department of Medicine, Boston Medical Center, Massachusetts 02118, USA.
Ann Thorac Surg. 1999 Nov;68(5):1881-5. doi: 10.1016/s0003-4975(99)00860-7.
Papillary fibroelastomas are uncommon benign tumors usually involving the heart valves, which historically have been diagnosed at autopsy. With the advent of echocardiography, however, the number of patients diagnosed in life has increased. Papillary fibroelastomas represent a surgically treatable cause of cerebrovascular and cardiovascular ischemia and infarction making their identification clinically important. We report three unusual cases of papillary fibroelastoma; two patients presenting with symptoms of cerebrovascular ischemia and one presenting with myocardial infarction. We also present a comprehensive review of the literature and provide a compilation of all case reports to date.
乳头状纤维弹性瘤是一种罕见的良性肿瘤，通常累及心脏瓣膜，过去多在尸检时被诊断出来。然而，随着超声心动图的出现，生前被诊断出的患者数量有所增加。乳头状纤维弹性瘤是一种可通过手术治疗的脑血管和心血管缺血及梗死病因，因此其识别在临床上具有重要意义。我们报告了三例不寻常的乳头状纤维弹性瘤病例；两名患者表现为脑血管缺血症状，一名患者表现为心肌梗死。我们还对文献进行了全面综述，并汇总了迄今为止所有的病例报告。
